BRANDON MICHAEL LUNDGREN


Address: 211 Church St, Saratoga Springs, NY 12866
Phone: 5185871141

BRANDON MICHAEL LUNDGREN (NPI# 1790040798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790040798
Entity Type Individual
Full Name BRANDON MICHAEL LUNDGREN
Practice Address 211 Church St
Saratoga Springs
NY 12866
Mailing Address 211 Church St
Saratoga Springs
NY 12866-1090
Practice Telephone 5185871141
Mailing Telephone 5185871141
Enumeration Date 2012-07-06
Last Update Date 2018-07-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
015656-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 211 CHURCH ST
City SARATOGA SPRINGS
State NY
Zip Code 12866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144225442 James Edward Corwin Family Medicine 211 Church St, Saratoga Springs, NY 12866-1003 2005-06-15
1619587987 Mark F Costello IIi Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1090 2020-08-03
1578115432 Elizabeth Bogovich Nurse Practitioner 211 Church St, Saratoga Springs, NY 12866-1090 2019-07-11
1811463102 Jacquelyn Y White Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1090 2018-10-15
1790264000 Colleen Elizabeth Tillson Nurse Practitioner 211 Church St, Saratoga Springs, NY 12866-1090 2018-08-08
1649756669 Elizabeth Johnstone Social Worker 211 Church St, Saratoga Springs, NY 12866-1003 2018-07-12
1942718275 Saratoga Hospital Social Worker 211 Church St, Saratoga Springs, NY 12866-1003 2018-01-22
1427561224 Saara Johanson Anesthesiology 211 Church St, Saratoga Springs, NY 12866-1003 2017-11-15
1598277162 Joanna Amelia Robben Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1003 2017-11-03
1285159798 Brian P. Mcdermott, D.o., P.C. Internal Medicine 211 Church St, Saratoga Springs, NY 12866-1003 2017-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286247 Rebecca Schiller Occupational Therapy Assistant 121 Lawrence St, Saratoga Springs, NY 12866 2020-08-17
1417597113 Valerie June Andrascik Physical Therapy Assistant Wesley Health Care Center, Inc, 131 Lawrence Street, Saratoga Springs, NY 12866 2020-01-10
1790262749 Sarah Leclerc Psychologist 1 Kempton Place, Saratoga Springs, NY 12866 2018-07-23
1386165454 Kristina James Speech-Language Pathologist 88 Monroe St, Saratoga Springs, NY 12866 2017-06-29
1255799243 Mary E Mccue Dietitian, Registered 683 Lake Ave, Saratoga Springs, NY 12866 2016-02-04
1982062261 St. Peter's Health Partners Medical Associates, PC Family Medicine 377 Church Street, Saratoga, NY 12866 2016-02-02
1811353238 Kristin Elizabeth Symmes Registered Nurse 135 South Broadway, Saratoga Springs, NY 12866 2016-01-14
1053707752 Kaitlyn Lewis Social Worker 60 Geyser Road, Saratoga Springs, NY 12866 2015-04-09
1609264746 Jessica Rose Leslie Counselor 79 Ash Street, Saratoga Springs, NY 12866 2014-12-23
1770990251 Ranjit Bhagwat Psychologist 125 High Rock Ave Ste 104, Saratoga Springs, NY 12866 2014-07-17
Find all providers in zip 12866

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275804676 Lindsay E Maughan Physician Assistant 77 E Commerce Dr, Saratoga Springs, UT 84045 2012-01-18
1780244269 Bayly Marie Rittmiller Physician Assistant 3044 Route 50, Saratoga Springs, NY 12866-3073 2019-06-18
1851742332 Michael Grant O'rourke Physician Assistant 211 Church St Ste 1, Saratoga Springs, NY 12866-1003 2016-06-27
1609225713 Michael Vincent Murphy Jr. Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1003 2016-06-09
1750535407 Johnathan Charles Wilkinson Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1003 2008-11-07
1417117615 Timothy J Ward Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1003 2008-06-11
1629174792 Sandra Shepard Physician Assistant 1305 N Commerce Dr, Suite 120, Saratoga Springs, UT 84045-5305 2006-09-16
1003881947 Jennifer Case Physician Assistant 211 Church St, Saratoga Springs, NY 12866-1003 2006-02-22
1942200035 Kathryn A. Sabo Physician Assistant 3 Care Ln, Saratoga Springs, NY 12866-8639 2005-07-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487252581 North Shore Medical Group Pllc Physician Assistant 311 Skyview Ter, Syracuse, NY 13219-2835 2020-10-12
1477169654 Kristen Ariel O'connell Physician Assistant 85 John St Apt 7a, New York, NY 10038-2844 2020-09-22
1699381616 David Nmn Kao Physician Assistant 737 Pleasant Avenue, Westbury, NY 11590-6407 2020-09-16
1043824816 Elizabeth Keane Physician Assistant 25 Hollis Dr, Sound Beach, NY 11789-1629 2020-08-31
1497364111 Tianna Stephens Physician Assistant 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 2020-07-28
1124636188 Shannon Maureen O'connell Physician Assistant 270-05 270th Ave, New Hyde Park, NY 11040 2020-07-16
1841818895 Yanick Dugue Physician Assistant 4 Lincoln Ave, New Hyde Park, NY 11040-3125 2020-07-07
1194340505 Kayleigh Marie Tourt Physician Assistant 222 Alexander St Fl 4, Rochester, NY 14607-4039 2020-06-11
1023638509 Kristina Rajic Physician Assistant 7237 66th Dr, Flushing, NY 11379-2111 2020-04-24
1114547791 Michele Hein Physician Assistant 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 2020-04-23
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Competitor

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City SARATOGA SPRINGS
Zip Code 12866

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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